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7525 N. Cedar Ave #105 Fresno CA 93720 | |
| (559) 439-6600 | |
| (559) 439-5400 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7525 N. Cedar Ave, Fresno, California |
| Authorized Official Name and Position | Jeffrey B Evans (OWNER/PARTNER) |
| Authorized Official Contact | 5594396600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7525 N. Cedar Ave #105 Fresno CA 93720 Ph: (559) 439-6600 | 7525 N. Cedar Ave #105 Fresno CA 93720 Ph: (559) 439-6600 |
| NPI Number | 1003102443 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003102443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 59512 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 60083 (California) | Secondary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |